When a Seemingly Harmless Prescription Turns into Toxicity

Table 1

Patient’s laboratory results on admission.

White blood cell count (/μL)	2,770
Hemoglobin (g/dL)	10
Platelet count (/μL)	201,000
Sodium (mEq/L)	135
Potassium (mEq/L)	4.7
Chloride (mEq/L)	101
HCO3^− (mmol/L)	18
Blood urea nitrogen (mg/dL)	37
Serum creatinine (mg/dL)	6.3
Random blood glucose (mg/dL)	111
Alkaline phosphatase (IU/L)	88
Total bilirubin (mg/dL)	0.7
Direct bilirubin (mg/dL)	0.2
Aspartate aminotransferase (U/L)	17
Alanine aminotransferase (U/L)	7
Total protein (g/dL)	6.6
Albumin (g/dL)	3.8
PT(s)/INR	13.8/1.1
Venous pH	7.38
Venous CO2 (mmHg)	34
Serum ammonia (µmol/L)	30.8